Breast Cancer Treatment in Hyderabad | DesiMD

Breast Cancer Treatment in Hyderabad

Breast Cancer is a type of cancer that occurs in the breast’s cells. It forms in either the lobules, the glands which are responsible for producing milk or the ducts which are the pathways that bring the milk from the glands to the nipple.

Breast cancer is considered to be one of the most common cancers among women in India. There are five stages of breast cancer starting from stage 0 to stage IV. The staging depends on the size of the tumor, where it has spread, is cancer invasive or noninvasive and whether lymph nodes are involved.

There are many types of treatments available for every stage of breast cancer. The treatment plan will be based on:

  • Type of cancer
  • Age and health of the patient
  • Family History
  • Rate of cancer spreading
  • Genetic factors
  • If the patient had breast cancer before

When anyone is diagnosed with cancer, they think of getting the best treatment and at affordable costs. There are many cities in India where you can get the best breast cancer treatment. Among them, one city is Hyderabad, the capital of Telangana which has best cancer hospitals and skilled oncologists who can treat breast cancer effectively. The city has the best infrastructure and advanced technology for cancer treatment at affordable costs. Also, it is very well connected with the rest of the world.

The cancer hospitals in Hyderabad have all the latest breast cancer treatments like surgery, radiation therapy, chemotherapy, hormone therapy, and targeted therapy.

The stage-wise breast cancer treatment available in Hyderabad are:

Stage 0 (DCIS)

In this stage, cancer is limited to the milk ducts and have not spread to nearby tissues. It is referred to as non-invasive breast cancer or ductal carcinoma in situ.

The treatment available for Stage 0 breast cancer is –

  • Surgery: There are two types of surgeries performed by the surgeon, one is lumpectomy and another one is a mastectomy. In a lumpectomy, the surgeon removes the cancer cells and some breast tissues and in mastectomy, the whole breast is removed.
  • Radiation Therapy: This therapy is usually given after the lumpectomy. High energy x-rays are used to kill cancer cells and prevent them from spreading.
  • Hormone Therapy or Targeted Therapy: After surgery, this treatment is used to prevent or lower the risk of cancer developing into the breasts. This therapy is not prescribed for women who have had a double mastectomy.

 

Stage I

In this stage, breast cancer is termed as invasive breast cancer as it may have started to spread nearby lymph nodes. There are two sub-stages –

Stage 1A – The tumor is relatively small. It measures up to 2 centimeters or less and cancer has not spread outside the breast and has not affected lymph nodes.

Stage 1B – The cancer is found in nearby lymph nodes and there is no tumor in the breast, or it measures less than 2 centimeters.

The treatment option recommended for this stage is –

  • Surgery: It is the base treatment for stage 1 breast cancer. Both lumpectomy and mastectomy can be performed based on the size and the location of the tumor, factors such as genetic predisposition and patient’s preference. The biopsy will be performed for lymph nodes to evaluate the spread of the cancer cells. Also, after mastectomy, the patient can opt for breast reconstruction surgery.
  • Radiation Therapy: After the surgery, radiation therapy is usually given to lower the chance of cancer returning. It is recommended for patients undergone lumpectomy but can be sometimes recommended to patients undergone a mastectomy.
  • Chemotherapy: Women who have large tumors removed through surgery and women who have triple-negative breast cancer (TNBC) are more likely to get chemotherapy as there is no targeted treatment for this. The drugs are given attacks the cancer cells and prevent them from returning.
  • Hormone Therapy: This therapy is recommended for women who have hormone receptor-positive cancer in which tumors use hormones to grow. It stops the body from making hormones which can help cancer tumor to grow.
  • Targeted Therapy: This is a new type of treatment. The women who have too much of a protein HER2 are given this therapy to stop the cancer cells to grow because this protein helps cancer to spread quickly.

 

Stage II

Stage II is divided into two sub-stages as Stage IIA and Stage IIB.

Stage IIA – The tumor measures less than 2 cm and has spread to 1 to 3 nearby axillary lymph nodes or it measures between 2 and 5 cm and hasn’t spread to any lymph nodes.

Stage IIB – The tumor measures between 2 and 5 cm and has spread to axillary lymph nodes or it measures larger than 5 cm and hasn’t spread to any lymph nodes.

The treatment for stage II breast cancer is –

  • Surgery: For smaller tumors, lumpectomy is performed and for larger tumors, mastectomy is performed. Thus, surgery is the initial treatment given. Also, in both cases, the surgeon is likely to remove nearby lymph nodes to prevent cancer from growing.
  • Radiation Therapy: If any cancer cells are remaining after surgery then, radiation therapy is given to kill those cancer cells. Especially, if the cancer is found in lymph nodes then this treatment is recommended.
  • Chemotherapy: This is a systematic therapy given to kill the cancer cells throughout the body. It is given either in the form of a pill or injected directly into the vein.
  • Hormone Therapy: Oral medications are given under this treatment approach to women who have hormone receptor-positive cancer. The goal is to stop the cancer cells from using hormones to grow.
  • Targeted Therapy: The women who have HER2 positive cancer are given targeted therapy along with chemotherapy. In this treatment, HER2 proteins are stopped from making the cancer cells grow. Also, it helps in increasing the effectiveness of chemotherapy.

All these Neoadjuvant therapies, that is chemotherapy, hormone therapy, and targeted therapy can be given before surgery to shrink the tumors so that it becomes easy for the surgeon to remove the tumors. If these therapies are given after surgery then, these are known as Adjuvant therapies.

 

Stage III

There are three sub-stages known as Stage IIIA, Stage IIIB, and Stage IIIC.

Stage IIIA – Tumors are measured to be greater than 5 cm and has spread to 1-3 axillary lymph nodes or any lymph nodes near the breastbone or cancer has affected 4-9 axillary lymph nodes and the tumor can be of any size.

Stage IIIB – The tumor can be of any size and has invaded the chest wall or skin. Also, it may have spread to up to 9 axillary lymph nodes or lymph nodes near the breastbone.

Stage IIIC – There is no sign of cancer in the breast, but the tumor can be of any size and has affected 10 or more axillary lymph nodes, nodes near the collarbone and breastbone or internal mammary nodes.

The treatment options available for stage III breast cancer is similar to those for stage II. It includes Surgery, Radiation Therapy, Chemotherapy, Hormone Therapy, and Targeted Therapy. The only major difference is that for stage III chemotherapy is the common treatment method. Also, chemotherapy is the main treatment for patients who cannot undergo surgery.

 

Stage IV

Stage IV cancer is metastatic breast cancer. Cancer has spread beyond the breasts and nearby lymph nodes to other organs of the body such as lungs, skin, bones, liver, brain and distant lymph nodes. This stage is treated with aggressive systematic therapy.

The treatment for stage IV breast cancer includes –

  • Chemotherapy: It is the main treatment for this stage. It is used to slow down the growth of cancer cells. This therapy is often given in combination with hormone therapy.
  • Hormone Therapy: It is helpful for women with hormone receptor-positive cancers. In this treatment, medications are given to prevent the hormones in helping the cancer cells grow. Also, doctors may suggest women who haven’t reached their menopause to get their ovaries removed to stop them from making hormones that help in the growth of cancer cells.
  • Targeted Therapy: This is a new treatment method. It blocks the protein HER2 which helps the cancer cells in spreading quickly.
  • Surgery: This method is not the first line of treatment in case of advanced breast cancer but it may be recommended by the doctor in special cases, such as relieving compression on the spinal cord, treating a small number of metastases in one area, or treating brain metastases in certain situations.
  • Radiation Therapy: This therapy is used in certain situations for relieving symptoms or treating certain areas of metastatic cancer.

The cancer hospitals in Hyderabad are continuously doing research and development in finding better and advanced treatment options for treating breast cancer in a more effective way. Also, clinical trials are being performed to test new combinations of drugs.

Thus, all these factors make Hyderabad as a good destination for getting breast cancer treatment.

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